Individual
JACOB AARON BOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1712 E OHIO ST, CLINTON, MO 64735-2402
(660) 890-2587
Mailing address
902 WILLOW ST, CLINTON, MO 64735-3058
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019034275
MO
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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